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Home My WebLink AboutMiscellaneous - 28 MEADOWOOD ROAD 4/30/2018 (2)i; N O O Q 0 w N O 0 0 0 0 N w D v O 0 O v 0 n 0 Datee�:-C;.�e TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING CHUS C: This certifies that ........ ........... has permission to perform . ........ plumbing in the buildings of . ....................... at ��P. � . .......... North Andover, Mass. FeAt ..... L 1 c. No. .............. SPECTOR L. it Check 4 wo Er — UASSACHUSEI UpjIFORU APPUcATION FOR P E-RUIT TO DOPLUMBING mam DWe Bukft Location Permit ca CA Ld '0A Type Of Occm� (fw,) b New 0 Plenovation 0 mansswmnittet Yes 0 No FIXTURES z z OD Co lk- 40 0 ku Co CD gr 4C 0 z C M C 96 04 Co Go 0 — . 0 IL = >. lu Co x < CID IL L5 G� ku I-- Co Z Cc IL 0 z Lu 4C 4C ul — 0 -C Cl, m AL 1 0 -j p Cc Co 41M 0 > b.- m R z C) W a) Z Co I- to .2 4C C 0 0 i 4C 0 3L W 0 lo- MW 4C CD j m = 0 b3 j CD 0 0 0 cc 02 0 to ra Stj8-BsWT,. IST FLOOft 2ND FLOOR LOOR WH FLCXlop 1.10 Check am 0 empmatioli ,13 Partnership AForvem DWJRAUMZOVEPJW= I have A ctmmt rgd)ft Mrmy or ft No 13 =*$UntW Oqumalent which ffaeu the requkoywmft Ym haft Of MGL M uz Obecked yM Ple0ft 00catie -1-9. by d*ckft the appqm-a* bm O#W tm Of kxmnway - 13 Bow ""W39MMMCEWMvMl,amawa,- by QmpW W c*:it. Ncensee, dom rK* "Ve insur tirlis Genmw Laws� aw Vm*my somuffe 06 appecation..K.... t Chec* mm Owner M Agent 0 #man Cf#*"detaftaid kdonna*n I ham swj".6 W mWWkdqe-aWVmampkW4*VW* era" in above an perlbeft Povisiom ot Pokno"imsert-hapern*1 asuedfareft appkmdmww bfV*GenewLw& TYM of Lkerme pAkMSW Ucenft"Wnber 70, ate ............. ... v,0RTpj 0*",.. 1 114, V 11 6'6 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �7his ce'rtifies that ., .......................................... has permission for gas installation_-...,.. �.. in the buildings of . . . : ....... ............................. at IF? 6F . .......... ;�. . �r ... ..... North Andover, Mass. Fee Lic. No .......... _6AS I Check# 5297 �AQH USM� 4140 of Type). -UNIFORM -APPLjCATjoN,-F0WPERMJT 'TO 00 GASFFMNG We aw, Qx aN vd Ownees Nur1w, CA of OCCUFMAcy-- New 0 RenOVAOM-0 Plans Subn.*e&. Yet Nunn -MEN Emmons -smans allummus noun so Mimi mans on Firm BE Ella x AL . . . . . . . . . . . . . . Ad C4 id Ao ul 0"T"' '50 6 TOWN OF NORTM-'ANIDOVER PERMIT F �BAAS INSTALLATION This certifies that ................................. ............ has permission for gas installation—. . . ..... in the buildings of' . .: ... .... ...... ........................ at .............. ..... North Andover, Mass, '23 A, ... ........ ........... Fee Lic. No.. .�� A�I N_ �k Check# /z� "5,.5—b M43re MASSACHUSETTS -UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING nt 0-1 Type) Mass Date 20 Permit j x4f, /,2 7 .1,5116 J-A/ll BTdingiocations? AvaC90 wner"arn AaL� X�q Typeof0ccupancy NewlD Renovation 0 Replacementw PlarisSubmitted: Yeso NoO IMURANCE COVERAGE: I have a. currentyability Insurance policy or Its subs.tantlal equivalent which meets the requirements of MGL Ch. 142. Yes No If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity 0 Bond OWNEWS INSURNACE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Lam, and that my signature on this permit 2FPIICation v�aives this requirement signature of Owner or owneeS Agent Check one. Owner 0 Agent 0 1 hereby certify that 211 of the details and Information I have subrrdtted (or entered) In above application are true and accurate to the best of my knovA edge and that all plumbing woric and Installations performed under the ued for this 2ppIlc 11 be In complio VA th all pertl n ent provis tons of the Massachus etts S ta te G as c ode a nd C hapter Type of License: 142 of I L, n By 0 Plumber as Fitter Title 0 Gp4tter -e9 -15 Cirffrown WMaster License Number ?L APPROVED (OFFICE USE �N—LY) D Journeyman RTTLRIZIRNE��MMMFAMM §I6'1§;;W61MMMMMMMMMM M1 2"We M--M�Mm�mmmm �Mmm r.,Ilx.vzworsl.MMMMMMMMM�MMMMO � YA1;19U@4]M�MMMMMMMMMMMMMMM= IMURANCE COVERAGE: I have a. currentyability Insurance policy or Its subs.tantlal equivalent which meets the requirements of MGL Ch. 142. Yes No If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity 0 Bond OWNEWS INSURNACE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Lam, and that my signature on this permit 2FPIICation v�aives this requirement signature of Owner or owneeS Agent Check one. Owner 0 Agent 0 1 hereby certify that 211 of the details and Information I have subrrdtted (or entered) In above application are true and accurate to the best of my knovA edge and that all plumbing woric and Installations performed under the ued for this 2ppIlc 11 be In complio VA th all pertl n ent provis tons of the Massachus etts S ta te G as c ode a nd C hapter Type of License: 142 of I L, n By 0 Plumber as Fitter Title 0 Gp4tter -e9 -15 Cirffrown WMaster License Number ?L APPROVED (OFFICE USE �N—LY) D Journeyman TO Date ....... 2183 TAO TF1 0 TOWN OF NORTH ANDOVER �O PERMIT FOR WIRING CHUS S ..................... This certifies that ........ .... .. has permission to per rm . -� -W .. .. ............... .... S.5. wiring in the building r ........................... a It 4 4 la . ... ............. . North Andover, Mass. IN ....................... Feel6h ... 777�n Lic. N(r ................. i�ECTR . ICAL . INSP . EcrOR... WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File 01 4t (f'0MnWnWM4 of Mass*uttts apartund of Vablic f BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No. Occupancy & Fee Checked 3190 0eave blank) APPLICATION FOR PERMIT TO. PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3 Qyj or Town of NORTH ANDOVER To the inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number). 22 ne-6062W 11 006 ?08D 0 w n e r o r Te n a n t 0_7T__ 0 Q A,)_S�� 0 M/02,�/ Owner'sAddress '�'2 /nA. Is this permit in conjunction with a building_permit: Yes N o 71 (Check Appropriate Box) Purcose of Building F141n 1.4 !e Ao/n e Utility Authorization No. r7 Existing Service _ Amps /—Volts Overhead L_i Undgrnd El No. of Meters New SerAce V-0 Amps 2,XJ)_62/AVaits Overhead 211 Undgrnd No. of Meters Number of Feeders and Ampacity Z — AX 42 - Location and Nature of Proposed Electrical Work I Total No. of Lighting Outlets No. of Hot 7ubs No. of Transformers KVA No. of Lighting Fixtures Above, Swimming Pool grnd. In- — gmd. Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets 3 No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and iotai No. of Ranges No. of Air Cona. tons Initiating Devices No. of Sounding Devices No. of Self Contained eat Total �btai No. of Disoosals I No.of � '7ons K1,AJ I r-umos No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices municipal Local e, L connection No. of Dryers Heating Cevices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring V___ No. Hydra Massage Tubs No. of Motors Total HP -OTHER: INSURANCE COVERAGE: Pursuant to the recuirements of Massacriusetts general Laws I have a current Liability Insurance Policy including Comoieted Opera-vions Coverage or its substantial equivalent. YES L_ NO have submitted valid proof of same to the Office. YES : NO 7- if -you have checked YES. please indicate the type of coverage by checking the appropriate box. INSURANCE 41�- BOND �_ OTHER Z (Please Specify) A Zf&AKI (Expiration Date) Es",mated Value of Electrical Work S ��' ;160 Final Work to Start Insoection Date Recuestea: Rough Signed under the Penalties of perjury: LIC. NO. FIRM NAME Z ro J � 69 Licensee e,4 LQ Signatui LIC. NO. E222/,R - V B u s. Te I.. N a. J?ly 12 Address A2 '0 /a a),-11 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature an Mis permit application waives this requirement. Owner Agent (Please check one) selievirione No. _ PERMIT FEE S (Signature of Owner or Agent) ;M4 0 F=4 C) 6 z ui am 0 u z G z LU LU LU FE I -- U-1 U, 4!Z' 1 A z Q N I Iz *u v 0 4 cn cn LE — (i -- I ( - U LLJ z Z co CD :In �� z w 0 Cf) cw,) CD Z—V s m LLJ M_ I as Loll s u LLJ ui W - off Ei-zl U— -\:r E co cp� 0 LU co CL CL > F- C:) 2! CO cm LLJ C4 CD 10 co cc W CL) LU 'ff = CID 'a > CO 0 Cl C) cc L.. I— = C-) CL -b-a L4 >-, cc C.) CK C5 v 051 CO) t`c L, cc < CO3 ca LLJ -j < E U co CE CC) co 0; LU: E E cc CC LU CL cm s 4— .co) cm < Cc: LU 3: i CL LU C/) CD CCO, 4;:5 00 cm CJ 0 0 .0 CD -3 :2 .0 0 ca — r.L. U LLJ z Z co CD :In �� z w 0 Cf) cw,) CD Z—V s m LLJ M_ I as Loll s u LLJ ui W - off Ei-zl U— -\:r E co cp� 0 LU co CL CL > F- C:) 2! CO cm LLJ C4 CD 10 co cc W CL) LU 'ff = CID 'a > CO 0 Cl C) cc L.. I— = C-) CL -b-a C.) CO) cc < CO3 co -j < U- U co CL CO) cc CC LU CL F -- .co) < Cc: LU 3: i CL LU C/) z 4 IL D 0 oal LLJ Cl) m LL 0 LLI LLI 0 u LM 4) 0 MO 0 z 0 0 F- cis cl E 3 z E CD C E. w z z 0-4 000 I XAOR N 16 it 0 VO c% 0 LAKE ATEO S -SACH APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY: �-c �- .tt / 6- oq s ma-c'JOUD azxg- 'A I DATE REQUEST FILED/READY FOR INSPECTION: L A - rvk, flepLV_ CLOSING DATE �014 PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CEDSING DATE -IS REQUIRED. ALL WORK AND SIGN—OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE—INSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. � If i / e�� SIGNED: No. Date! 49 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame -Permit Fee $ L Ale �(, 7? ,va 1 3,4 q Foundation Permit Fee 4i Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee ' $ 40 TOTAL 4* -P, cp,� 1,WO-00 PAID TO 840 $ 'Id'r,,r Inspector Div ubJ6 Works----' Location ?,S R-Abouo -N ate 0. "ORTH 01 4, TOWN OF NORTH ANDOVER 0 4L Aamliidlk I Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee 100, C Other Permit Fee $ .Sewer Connection Fee $ Water Connection Fee TOTAL $ Building Inspector To 7867 Div. Public Works Location z8 No. Czt Date Of VORTh I TOWN OF NORTH ANDOVER 6 6 0 Certificate of Occupanc y $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ $ Sewer Connection Fee Water Connection Fee $ TOTAL s Building Inspector 01/20/95 09:31 634. 50 PAID '112:- 7 8 6 8 Div. Public Works 7�fO�IERMIT NO. . MAP +40. I'PA G E I APPLICATION FOR PEXIT TO LIILD��=RT=DOVER, MASS. INSTRUCTIONS SEE BOTH SIDES PERMIT FOR FOUNDATION 0 NLy 3 PROPERTY INFORMATION LAND COST REGULATED By PARA. 114.8-S. B.0 BLDG. CIST-�) (lus-T. t I Z. PAGE I FILL OUT SECTIONS 1 3 T� i) 6 . — - .. — w. 1 8. x EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 12 DATE FEE PA I D SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ( �b 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS t PLANS MUST BE FILED AND APPRO Y BUILDING INSPECfERMIT FOR FRAMUBUILDI DATE W6ED � SIGUA-fURE OP'-OV�I-AOTHORIZED AGENT %ir.E-lr r* PERMIT GRANTED 19 7,2 Y� 0---a IL- ------------------- I --------- PMMff FEE :11Li;b LESS FDA FEE - - toe�, 00 DUE FRAME PERMIT$ G3 4,!�7o OWNER TEL. # CONTR. TEL. # CONTR. LIC. # (2)? -G - 44+ .H.I.C. # C4*1- a -786b I LOT NO. .4ri 1 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZON E SUB DIV. LOT NO7.-7-,/ J— LOCATION PURPOSE OF BUILDING OWNER*S NAME -NO. OF STORIES SIZE y 4 21 OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FL 2N 3RD BUILDER'S NAME SPAN 110P DIMENSIONS OF SILLS DISTANCE TO NEAREST BUILDING ID DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES SIDES REAR 14 GIRDERS AREA OF LOT FRONTAGE ;1_1� HEIGHT OF FOUNDATION THICKNESS Is BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION y IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE V _A9 INSTRUCTIONS SEE BOTH SIDES PERMIT FOR FOUNDATION 0 NLy 3 PROPERTY INFORMATION LAND COST REGULATED By PARA. 114.8-S. B.0 BLDG. CIST-�) (lus-T. t I Z. PAGE I FILL OUT SECTIONS 1 3 T� i) 6 . — - .. — w. 1 8. x EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 12 DATE FEE PA I D SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ( �b 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS t PLANS MUST BE FILED AND APPRO Y BUILDING INSPECfERMIT FOR FRAMUBUILDI DATE W6ED � SIGUA-fURE OP'-OV�I-AOTHORIZED AGENT %ir.E-lr r* PERMIT GRANTED 19 7,2 Y� 0---a IL- ------------------- I --------- PMMff FEE :11Li;b LESS FDA FEE - - toe�, 00 DUE FRAME PERMIT$ G3 4,!�7o OWNER TEL. # CONTR. TEL. # CONTR. LIC. # (2)? -G - 44+ .H.I.C. # C4*1- a -786b I BUILDING RECORD OCCUPANCY 12 SINGLE FAMILY I RIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA - APARTMENTS I '.S. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. AM M"13""i 14; Aq A i., tJ CONSTRUCTION 2 FOUNDATION INTERIOR FINISH CONCRETE _INI HARDW D a 1 2 13 CONCRETE BL K. BRICK OR STONE PIERS PLASTER DRY WALL NFIN 3 BASEMENT AREA FULL FIN B M T AREA 1/1 1/2 1/1 JrFIN. ATTIC AREA NO 8 M'T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES CONCRETE EARTH B 1 2 3 ASPHALT SIDING ASBESTOS SIDING HAiDVJ -D COMtAC;N VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. A CONIC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I Z POOR ADEQUATE NONE 10 IKUMIiING 5 OOF. GABLE IP BATH (3 FIX.) C GAMBRELI MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING WOOD JOIST 11- HEATING PIPELESS FURNACE FORCED HOT AIR F�E�54 TIMBER BMS. & COLS. STEAM STEEL SMS. & COLS. HOT W'T'R OR VAPOR wOOD RAFTERS 4>C AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL ELECTRIC NO HEATING B'M'T 2�d 3rd AM M"13""i 14; Aq A i., tJ T-4 , al -2 ui L 2. C -i 4 cd Q ob CO3 CD 19t c !7c s U U0 Lot LAI ci ID CD CL CA E.E CD SO c" ALS CLS WS can CLU CD CD oc m zoo c= 3 CO) CL. COD W=ws 0 LU Cd* p ca u *F L = C.3 U CD 0 M CL CD Go = CD cc LLJ E, —T w 0 E CL CD CD CD 16- 0 C" Cl z CD F. �� z �Q 0 �A I R co 0 0 E R CD co z �-4 u u ca 0 CD CM CA CD CD w .Lo) r=- E-4 u CD ow CD CL) 0 CL 0. CO) 7j 4-6 C Cc c -0 CA OC = co 0 u 6 cc C-0 —C, —cz u 00 > cc 0 0 0 u x C: :3 w 0 ui L 2. C -i 4 cd Q ob CO3 CD 19t c !7c s U U0 Lot LAI ci ID CD CL CA E.E CD SO c" ALS CLS WS can CLU CD CD oc m zoo c= 3 CO) CL. COD W=ws 0 LU Cd* p ca u *F L = C.3 U CD 0 M CL CD Go = CD cc LLJ E, —T w 0 E CL CD CD CD 16- 0 C" Cl z CD F. �� z �Q 0 �A I R LL 0 ol�l cc U.j cc: F— C:) :7, LLJ cc: LLI LL > L) U.J F -- cm 0 LU :5 �S- a- U) co 0 E CD co z 0 ca CD CM CA CD CD U .Lo) r=- CO CO CD ow CD CL) 0 CL 0. CO) 4-6 C Cc c -0 CA s C.3 = co 0 u CL COD cc cc CL CO) LL 0 ol�l cc U.j cc: F— C:) :7, LLJ cc: LLI LL > L) U.J F -- cm 0 LU :5 �S- a- U) FORM U - LOT RELEASE FORM INST'RUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: _ICO -75- Co P\J 4�. C Phone 7?Y—QkZ)-?,Y LOCATION: Assessor's Map Number C:� J_ Parcel c::11-5. OLC�_? Subdivision LA�;))0,__ , J_Aq A Lot(s) Wle a c (C > U; COA F!d Street wm; i- St. Number :RECOMMENDATIONS F TIOW14 AGENTS: Co;4( ,.serva'[_io Admin4i-strator Comments Town Planner Comments Food Inspector -Health Sep -tic Inspect -or -Health Comments Use only************************ Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Public Works - se'der/water connect --ions —ITTC-0 --Tyt�, �0_ - driveway permit Fire Deparu�ent U4 Received by B ilding Trispecto Date - 3 LOT MAN 39.6 I A Wow at Q, VIA H#1 SMH #1 C a 3,4 .sCHOOL IN LOT/)j OT PH J/2 W man" LU 4A. L 0 A 4.0 I Ing a L 'A i", 0 W—M AMP L tall ��jgli -N ------------ qy�'Kv KA,;A —71 L-1 'Y" Zll.'�— "t. 13 0A 4AJ�" 0 L OT mm- MY L ISO* I ., �.,, "*,_ - ".. �. , 1-.7i .., - _1111W, A V, �,--��:,�1--ig�,� "t-a'j, itt , I , - , , , clltrvl 10,4�,1,1�'g,�;,- 'v---: , , 4- I., V., ,,, I - -,a-! "-%-!� 0" - '!, , , � -�,,Iy;��,�., �',lr'g M., .r�7f.,-". ,, 1A`!`_1 ' .,I. 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'' , -� � , �� ". r. -,�� ;: ." � s � . � . �, ", 0, �,�, .�:�iWl",C "I '., � ,.`�, - , , - - � �,,,-,,, i, " , � �,� . . . 'i I I . ,�,,� I :�,, - '. 't - . - -?�v I;i , q to " " 1, -� , , I "=Wn SAW i 4 =---- , 11 ., IT);,; � � � i: fit 1__� -Z ';�:g,'.'_��,,,;,� - . 'no .0, ,ox;,,�. � � � � � � �;,��,y�,'i,,� , , - - L 41111k,��11'61114;,iv_li� "I i' CLIENT. FOUNDATION LOCATION PLAN SCOTT CONSTR. THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT LOCATION: LOT 15- NADINE LN.-NO.ANDOVERMA. SCALE: I"=20' DA TE.- 212195 CHRISTIANSEN 19 SERGI PROFESSIONAL ENGINEERS UK, LAND SURVEYORS 160 SUM14ER ST HAVERHILL-MA- 01830 TEL. 508-373-0310 (g) 1995 BY CHRISTIANSEN & SERGI INC - i I CER77rY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REOUIREMENTS Or THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTSWETUNDSEASEMENTS, ORDERS OF CONDITIONS, ETC-) THIS DRAWING SHALL NOT BE USED By THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVEEXCEPT KITH THE WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC - FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRIS77ANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHIBITED CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY FOR 771E UNAUTHORIZED USE or THIS DRAWING OR ANY INFOR- UATFON CONTAINED HEREON- DWG.NO.:94015014 qs-- (1, � 2- v u Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 978-688-9545'Fax 978-688-9542 - Street, Item Map/Lot: 4.2 c 3@L Applicant: U F, r -N e i Request: lax t a C> P-�Q C�_ C_ IC— Date: 1 10 �l 4 �Q IS Please be advised mat after review of your Application and Plans that your Application is DENIED, for the following ZoningBylaw reasons: 4 Zoning )<- to ;t 8 - - I _R Remedy for the above is checked below Item # Special Permits Planning Board Item Notes Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Sign I Lot area Insufficient Inde Elderly Housing Special Permit Large Estate Condo Special Permit --Planned Development District Special Permit Planned Residential Special Permit 1 Frontage Insufficient Special permit for preexisting nonconforming 2 Lot Area Preexisting 2 Frontage Complies 3 Lot Area Complies 3, Preexisting frontage LA 'r -S 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage I I Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexi!fting 2 Complies 4 Special Permit. Required 3 Preexisting CBA Lt 5 Insufficient. Information 4 Insufficient Information C Setback , H Building Height I All setbacks comply I Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Infornnation 6 Rear Insufficient Lj I Building Coverage 6 Preexisting setback(s) I Cover'age exceeds maximum 7 Insufficient Information coverage, Complies D 1 Watershed 3 Coverage Preexisting I I Not in Watershed LA 4 Insufficient information 2 In Watershed J, Sign /z, 3 Lot prior to 10/24/94 1 Sign not allowed -A) 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information -E Historic District K Parking I In District review required I More Parking Required 2 N tin district 1 2 Parking Complies 3 Insufficient Information 1 3 Insufficient InformYtTio-n 1 4 Pfe-existing Parking Remedy for the above is checked below Item # Special Permits Planning Board Item # I Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance. Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit -pendent Special Permits Zoning Board Inde Elderly Housing Special Permit Large Estate Condo Special Permit --Planned Development District Special Permit Planned Residential Special Permit Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA - Special Permit Use not Listed but Similar Special Permit for Sign R-6 Density Special Permit Special permit for preexisting nonconforming Watershed Special Permit The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion �of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new permit application form and begin the permitting process. .Z/fil* 1�tl' Building Depaftment Official Signat,'",_' 0/ —3o - -o 3 /0 -// - . 0 ' 1 3 A00lication Received Application Denied Plan Review Narrative The following narrative is provided to further explain the.reasons APPLICATION for the property indicated on the reverse side: . for DENIAL for the Keterred To: LOT 18 LOT Aa i? e 78 -2 - LOT 14 ;Qzl FOUNDA TION LOCA TION PLAN CLIENT. SCOTT CONSTR. TIRS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. LOCATION: LOT 15- NADINE LN.-NO.ANDOVERMA. SCALE: 1"=20' DA TE.- 212195 CHRISTIANSEN SERGI PROFESSIONAL ENGINEERS LAND SURVEYORS f6O SUM14ER Sr. HAVERHILLMA. 01830 TEL. 508-373-0310 (g) 1995 BY CHRISTIANSEN & SERGI INC. I crR7yry THAT THE PRIMARY S7RUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REoulmirmrs or THE LOCAL APPLICABLE ZONING BY-LAn IN EFFECT WHEN CONSTRUCTED. (THIS CEPTIFICA770M DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENAMMWETLANDS.EASEMENTS, ORDERS Or CONOtTIONSETC.) THIS DRAW!NG SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE.EXCEPr WTH THE WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. FURTHERMORE THIS DRAt+7NG IS THE COPYRIGHTED PROPERTY OF CHRiSTlANSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE Or THIS DRAWING OR ANY INFOR- MA770H CONTAINED HEREON. DWG.NO.:94015014 FORM U - LOT RELEASE FORM IR-Ytoz INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fron Boards and Departments having jurisdiction have been obtained. This does not relievE the applicant and/or landowner from compliance with any *applicable or requirements. - --- WWWWWW************** --&f *APPLICANT FILLS OUT THIS SE APPLICANT 7,A) �- PHONEVS "'02 —06t� LOCATION: Assessor's Map Number C.12 PARCEL 3 SUBDIVISION LOT (S) STREET MPA6t0VJ004__.koAA n ST. NUMBER__�k 11 HEPI?MMENDATIONS V_44AQ!?�_ CONSERVATION ADMINI COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH **********OFFICIAL USE 0NLY****************-**� AGENTS: DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED SE -IC INSPECTOR -HEALTH DATE APPROVED DATE- REJECTED COMMENTS I "UBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT I -IRE DEPARTMENT I ECEIVED BY BUILDING INSPECTO vised 9N97 im N DATE_. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT RENOVATf OR APPLICATION TO CONSTRUCT DEMOLISH A ONE OR TWO FAMILY DWELLING EA BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Colnmissioner/IREeEtor of Buildings Date SECTION I- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number qo aoto wo ot 1.3 Zoning Information: Zoning Diai�dt Proposed Use 1.4 Property Dimensions: Lot Area (sf) Frontage (ft) 1.6 BURDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Reqtured Provided Q —Required 1.7%ter Sup"plfyM.G.L.C.40.154) 1.5. Flood Zone Information: Public 0 private 0 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWi;�RSHW_J_A__U__ THORIZED AGENT Historic District: Yes No 2.1 Owner of Rewrd JW6 XuAfV 164�& /XUC_M&( KI& N (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable 0 License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone T M X z 0 0 z M 90 0 M r r z Q SECTION 4 - WORKERS COMEPENSATION (NLG.L C 152 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ....... 0 No ....... 0 SECTION 5 Description o Proposed Work (check applicable) New Construction 0 Existing Building 0 Repair(s) 0 Alterations(s) 0 on 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: Y, 1 2� 5oAYoc oq to SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to be Completed by permit a plicant "t"A (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 2 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection -6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMEPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLILES FOR BUI]LDING PERNUT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Sfigiiatur� of O�—V�—er Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A I ent Date 1111121111 NO. OF STORIES SIZE -BASEMENT OR SLAB SIZE OF FLOOR TINIBERS OT 2 ND 31w -SPAN -DIMENSIONS OF SI1_LS -DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS -HEIGHT OF FOUNDATION THICKNESS -SIZE OF FOOTING X -MATERIAL OF CHRvINEY -IS BUILDING ON SOLD) OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 2,4,K ZZ 4.Aeeksoj�� Co"RQ604. ?tez- T:'h. CAtt4CWAL C-L&r a AltL TuU. -Oouv3 I 0 bl�: 0-0 P- 6 No- 9 wi co co 00 CD > S? MILL VILLAGE F5 a x CDC") -01 CQ 3b CO < I � 91 w 0 :t ft -4 t Z -n CD 24 X 28 GARRISON SN m 0 ca 3,BED,ROOM,S.,.. 1/2 BATHS --L L 'D, 3 0 a- > cb 0-0 > > 0 > CD :X' ;;:< CD o 0- CD CD 0 0 CD to Cb * co R Ica-. 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